| Goshen Medical Center - Elizabethtown | |
|
400 Mercer Mill Rd Elizabethtown NC 28337-3951 | |
| (910) 879-3216 | |
| Not Available |
| Full Name | Goshen Medical Center - Elizabethtown |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Mercer Mill Rd, Elizabethtown, North Carolina |
| Authorized Official Name and Position | Gregory Bounds (CEO) |
| Authorized Official Contact | 9102672057 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goshen Medical Center - Elizabethtown Po Box 187 Faison NC 28341-0187 Ph: () - | Goshen Medical Center - Elizabethtown 400 Mercer Mill Rd Elizabethtown NC 28337-3951 Ph: (910) 879-3216 |
| NPI Number | 1982357943 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 09/20/2022 |
| Medicare PECOS PAC ID | 3173434479 |
|---|---|
| Medicare Enrollment ID | O20220627003559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982357943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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